Failure to Timely Report Injury of Unknown Source
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency occurred when the facility failed to timely report an injury of unknown source for one resident with a history of CVA and abnormal gait. The resident experienced an unwitnessed fall in the TV/dining room and was later found to have multiple bruises and a fractured right fifth toe. Documentation shows that the resident returned from the hospital with visible injuries, but the medical doctor on call was not notified upon return, and the incident was not reported to the state agency on the same day as required. Interviews with facility staff confirmed that the expected protocol was not followed, including timely notification of the physician, family, and state agency, as well as completion of the incident report.